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EP4494705A2 - Agonistes de récepteur non peptidique d'oxytocine - Google Patents

Agonistes de récepteur non peptidique d'oxytocine Download PDF

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Publication number
EP4494705A2
EP4494705A2 EP24212001.2A EP24212001A EP4494705A2 EP 4494705 A2 EP4494705 A2 EP 4494705A2 EP 24212001 A EP24212001 A EP 24212001A EP 4494705 A2 EP4494705 A2 EP 4494705A2
Authority
EP
European Patent Office
Prior art keywords
substituted
unsubstituted
alkyl
alkenyl
och
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
EP24212001.2A
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German (de)
English (en)
Other versions
EP4494705A3 (fr
Inventor
Michael Kassiou
William Jorgensen
Eryn Werry
Tristan Reekie
Michael Bowen
Iain McGregor
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Kinoxis Therapeutics Pty Ltd
Original Assignee
Kinoxis Therapeutics Pty Ltd
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Filing date
Publication date
Priority claimed from AU2016905126A external-priority patent/AU2016905126A0/en
Application filed by Kinoxis Therapeutics Pty Ltd filed Critical Kinoxis Therapeutics Pty Ltd
Publication of EP4494705A2 publication Critical patent/EP4494705A2/fr
Publication of EP4494705A3 publication Critical patent/EP4494705A3/fr
Pending legal-status Critical Current

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00—Medicinal preparations containing organic active ingredients
    • A61K31/33—Heterocyclic compounds
    • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/55—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having seven-membered rings, e.g. azelastine, pentylenetetrazole
    • A61K31/551—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having seven-membered rings, e.g. azelastine, pentylenetetrazole having two nitrogen atoms, e.g. dilazep
    • A61K31/5513—1,4-Benzodiazepines, e.g. diazepam or clozapine
    • A61K31/5517—1,4-Benzodiazepines, e.g. diazepam or clozapine condensed with five-membered rings having nitrogen as a ring hetero atom, e.g. imidazobenzodiazepines, triazolam
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00—Drugs for disorders of the nervous system
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00—Drugs for disorders of the nervous system
    • A61P25/18—Antipsychotics, i.e. neuroleptics; Drugs for mania or schizophrenia
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00—Drugs for disorders of the nervous system
    • A61P25/22—Anxiolytics
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00—Drugs for disorders of the nervous system
    • A61P25/24—Antidepressants
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00—Drugs for disorders of the nervous system
    • A61P25/30—Drugs for disorders of the nervous system for treating abuse or dependence
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P27/00—Drugs for disorders of the senses
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07D—HETEROCYCLIC COMPOUNDS
    • C07D487/00—Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, not provided for by groups C07D451/00 - C07D477/00
    • C07D487/02—Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, not provided for by groups C07D451/00 - C07D477/00 in which the condensed system contains two hetero rings
    • C07D487/04—Ortho-condensed systems
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02—TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02A—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A50/00—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
    • Y02A50/30—Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change

Definitions

  • the present disclosure relates to compounds, compositions and methods for the treatment of neurological, psychiatric disorders which are characterised by a fundamental disruption of social behaviour, and substance use disorders.
  • autism spectrum disorder ASD
  • SAD social anxiety disorder
  • MMD major depressive disorder
  • substance use disorders At present there are no approved medications that directly target social deficits, and drug-treatments for these disorders, where available, have at best limited efficacy.
  • SAD Social anxiety disorder
  • social phobia is the most common anxiety disorder and is understood to affect 1 in 10 Australians at some time in their lives, and approximately 5% of the population at any one time.
  • Social anxiety is frequently co-morbid with, and frequently precedes the onset of, other psychiatric problems such as depression, schizophrenia and substance use disorders.
  • Social withdrawal is also a very prominent feature of childhood neurodevelopmental disorders such as autism.
  • ASD autism spectrum disorder
  • GAD generalised anxiety disorder
  • SAD social anxiety disorder
  • SSRIs selective serotonin reuptake inhibitors
  • SNRIs noradrenaline reuptake inhibitors
  • stimulants and antipsychotics have at best limited efficacy, slow onset of action, poor compliance and vast side effect profiles.
  • These pharmaceuticals lack modification of the core social deficits encountered in these disease states.
  • the current available treatments for people suffering from social dysfunction are extremely limited.
  • OT neuropeptide oxytocin
  • Animal studies show that OT positively modulates a wide variety of social interactions, including maternal behaviour, courtship, sexual behaviour and peer-to-peer interaction.
  • Results of human studies, in which OT is usually administered intranasally show that OT can increase trust and co-operation, improve social memory and decrease social fear.
  • recent clinical trials indicated that administration of OT to a person with autism and social anxiety can restore some aspects of social functioning.
  • the OT receptor therefore has immense potential for drug discovery aimed at alleviating serious psychiatric disorders. However, it is unlikely that intranasal OT will be an optimal therapeutic modality.
  • OT is a cyclic peptide that does not survive primary metabolism, has a short physiological half-life and does not readily penetrate the blood brain barrier.
  • V1aR vasopressin 1a receptor
  • the present invention concerns compounds of Formula I:
  • X1 is any one of a substituted or unsubstituted C 1 -C 4 alkyl, or a substituted or unsubstituted C 2 -C 4 alkenyl
  • R5 and R6 are each independently selected from H, F, Cl, Br, I, OH, CH 3 , CH m F (3-m) , CH m Cl (3-m) , CH m Br (3-m) , OCH 3 , OCH m F (3-m) , OCH m Cl (3-m) , or OCH m Br (3-m) ; wherein each m is an integer selected from 0, 1, or 2.
  • at least one of R5 or R6 is H. More preferably, R5 and R6 are H.
  • the compound is of Formula IA:
  • C 1 -C 4 alkyl either used alone or in compound terms refers to straight chain or branched saturated hydrocarbon groups, having 1 to 4 carbon atoms. Suitable alkyl groups include, but are not limited to: methyl, ethyl, propyl, isopropyl, n-butyl, sec-butyl, tert-butyl.
  • the "C 1 -C 4 alkyl” may be optionally substituted with one or more substituents. The substituents may replace one or more hydrogen atoms on any carbon atom or carbon atoms in the "C 1 -C 4 alkyl" carbon atom chain.
  • C 2 -C 4 alkenyl either used alone or in compound terms refers to straight chain or branched unsaturated hydrocarbon groups, having 2 to 4 carbon atoms and including at least one carbon to carbon double bond.
  • Suitable alkenyl groups include, but are not limited to: ethenyl, propenyl, or butenyl.
  • the carbon to carbon double bond may be between any two adjacent carbon atoms.
  • the "C 2 -C 4 alkenyl” may be optionally substituted with one or more substituents. The substituents may replace one or more hydrogen atoms on any carbon atom or carbon atoms in the "C 2 -C 4 alkenyl" carbon atom chain.
  • C 2 -C 4 alkynyl either used alone or in compound terms refers to straight chain or branched unsaturated hydrocarbon groups, having 2 to 4 carbon atoms and including at least one carbon to carbon triple bond.
  • Suitable alkynyl groups include, but are not limited to: ethynyl, propynyl, or butynyl.
  • the carbon to carbon triple bond may be between any two adjacent carbon atoms.
  • the "C 2 -C 4 alkynyl” may be optionally substituted with one or more substituents. The substituents may replace one or more hydrogen atoms on any carbon atom or carbon atoms in the "C 2 -C 4 alkynyl" carbon atom chain.
  • the cyclic structure 'X' is selected from the group consisting of: fused or unfused aryl groups; fused or unfused 5-, 6-, 7-membered heterocyclic groups having one or more hetero ring atoms selected from N, O, or S (preferably N); or a 5-, 6-, 7-, 8-, 9-, 10-, 11-, 12-, 13-, 14-, 15-, or 16-membered (preferably 8-, 9-, 10-, 11-, or 12-membered) mono-, bridged bi-, or bridged tri-cycloalkyl groups (preferably a bridged tri-cycloalkyl group).
  • Bridged cycloalkyl groups are intended to cover prismanes and asteranes, such as prismane, cubane, basketane, etc.
  • 'X' is a fused aryl group or a fused heterocyclic group
  • the fused group comprises 4 fused rings or less (preferably 3 fused rings or less, and more preferably 2 fused rings or less).
  • the fused rings may be a mixture of one or more aryl, heterocyclyl, and/or cycloalkyl ring groups.
  • the aryl group and/or the heterocyclic group are unfused.
  • the heterocyclic group is an unfused 5- or 6-membered heterocyclic group.
  • the heterocyclic group has only a single hetero ring atom.
  • the heterocyclic group is a pyridyl group.
  • the cycloalkyl is a bridged bi- or bridged tri-cycloalkyl. It is preferred that the cycloalkyl group does not include a hetero ring atom. More preferably, the cycloalkyl is a bridged tri-cycloalkyl, and the most preferably the bridged tri-cycloalkyl is adamantyl. It is most preferred that the cyclic structure is selected from the group consisting of: phenyl, pyridyl, and adamantyl.
  • substituted or unsubstituted cycloalkyl is not a substituted cyclohexane group.
  • R1 and R4 are each independently selected from the group consisting of: H, F, Cl, Br, I, OH, CH 3 , CH m F (3-m) , CH m Cl (3-m) , CH m Br (3-m) , OCH 3 , OCH m F (3-m) , OCH m Cl (3-m) , or OCH m Br (3-m) .
  • R1 and R4 are the same. Most preferably, R1 and R4 are both H.
  • R2 is independently selected from the group consisting of: H, F, Br, I, OH, CH m F (3-m) , CH m Cl (3-m) , CH m Br (3-m) , OCH 3 , OCH m F (3-m) , OCH m Cl (3-m) , or OCH m Br (3-m) . More preferably, R2 is H.
  • R3 is independently selected from the group consisting of: H, F, Cl, Br, I, OH, CH 3 , CH m F (3-m) , CH m Cl (3-m) , CH m Br (3-m) , OCH 3 , OCH m F (3-m) , OCH m Cl (3-m) , or OCH m Br (3-m) . More preferably, R3 is selected from the group consisting of: H, CH 3 , or OCH 3 .
  • R1, R2, R3, or R4 are H. More preferably, at least three of R1, R2, R3, or R4 are H.
  • the substituted or unsubstituted aryl is a substituted or unsubstituted phenyl of the form:
  • A3 is not OH when R1, R2, R3, R4, A1, A2, A4, and A5 are H; and
  • At least two of A1, A2, A3, A4, or A5 is H. More preferably, at least three of A1, A2, A3, A4, or A5 is H.
  • the substituted or unsubstituted heterocyclyl is a substituted or unsubstituted pyridyl selected from the group consisting of:
  • Z is selected from the group consisting of N or O. Most preferably, Z is N.
  • each H1, H2, H3, H4, or H5 that is present is independently selected from the group consisting of: H, F, Cl, Br, I, OH, CH 3 , CH m F (3-m) , CH m Cl (3-m) , CH m Br (3-m) , OCH 3 , OCH m F (3-m) , OCH m Cl (3-m) , or OCH m Br (3-m) .
  • each H1, H2, H3, H4, or H5 that is present is H. More preferably, at least three of each H1, H2, H3, H4, or H5 that is present is H. Most preferably, each H1, H2, H3, H4, or H5 that is present is H.
  • each carbon atom in the adamantyl ring that can be substituted may be independently substituted with one or more substituents selected from the group consisting of: H, F, Cl, Br, I, OH, CH 3 , CH m F (3-m) , CH m Cl (3-m) , CH m Br (3-m) , OCH 3 , OCH m F (3-m) , OCH m Cl (3-m) , or OCH m Br (3-m) .
  • the substituted or unsubstituted cycloalkyl is an adamantyl ring of the form:
  • the cyclic structure is the substituted or unsubstituted aryl group. In another form, the cyclic structure is the substituted or unsubstituted heterocyclyl. In yet another form, the cyclic structure is the substituted or unsubstituted cycloalkyl.
  • a pharmaceutical composition including, consisting essentially of, or consisting of: a pharmaceutically acceptable compound of Formula I (as defined above); and a pharmaceutically acceptable carrier, diluent, or excipient.
  • a method including: administering a pharmaceutical composition including a compound of Formula I to a subject. It is preferred that the pharmaceutical composition further includes a pharmaceutically acceptable carrier, diluent, or excipient.
  • the method includes administering the pharmaceutical composition to the subject in an amount effective to treat or prevent a condition in a subject.
  • the condition may be a social dysfunction, such as social withdrawal, aggressiveness, an anti-social disorder, or an addiction to a substance.
  • the condition may be a psychiatric disorder, such as an autistic spectrum disorder, a social anxiety disorder, a depressive disorder including major depressive disorder, or schizophrenia.
  • the substance may be, for example, alcohol, cocaine, opiates, amphetamines, heroin, and nicotine.
  • the method includes administering the pharmaceutical composition to a subject that suffers from, or is recovering from a substance abuse disorder; or a subject that is recovering from the substance abuse disorder and seeks to maintain ongoing abstinence from the substance.
  • a pharmaceutical composition including the compound of Formula I for treating or preventing a condition in a subject, and/or maintaining ongoing abstinence from a substance in the subject.
  • a social dysfunction including: social withdrawal, aggressiveness, an anti-social disorder, or an addiction to a substance
  • a psychiatric disorder including: a social anxiety disorder, a depressive disorder including major depressive disorder, or schizophrenia; or a developmental disorder such as an autistic spectrum disorder.
  • the present invention is based on the discovery of compounds of Formula I and their use in treating a range of mental, neurological, and behavioural disorders.
  • the compounds of Formula I have been found to act as selective agonists for the oxytocin receptor (OXTR).
  • WAY 267464 compound is a non-peptide agonist for the oxytocin receptor.
  • patent publications WO 2006/021213 and WO 03/000692 disclose vasopressin V1A antagonists and an oxytocin agonist respectively which exhibit similar architecture to the WAY 267,464 compound in that a number of the compounds disclosed therein include pyrazolo[1,4] diazepine head groups with long pendant chains extending from the nitrogen atom in the 4 position of the diazepine ring.
  • these large compounds exhibit a number of draw backs in comparison with compounds of Formula I.
  • these compounds can act as an OXTR agonist
  • these compounds also bind with the vasopressin V1a receptor (V1aR), generally as an antagonist.
  • Other issues include poor bioavailability of these compounds, due to difficulties with these compounds crossing the blood brain barrier, or the metabolism of these compounds into smaller fragments which then have no effect or a deleterious effect.
  • Frantz et al. divided this compound into a "western part” which covered only the pyrazolo[1,4] diazepine head group, and an "eastern part” which covered the tail group extending from the nitrogen atom in the 4 position of the diazepine ring.
  • Frantz et al. then studied the effects of varying the head group of the "western part” and truncating the "eastern part” of the compound.
  • Frantz et al. demonstrated that truncation of the "eastern part” of the overall molecule resulted in the molecule acting as an antagonist for the OXTR, or in some cases being inactive in respect of OXTR. Based on this, Frantz et al. concluded that a long tail including at least the urea linkage is necessary for the OXTR activation.
  • compounds of Formula I not only act as OXTR agonists, but in many instances are highly selective for the OXTR, having minimal or no affinity for V1aR.
  • the compounds of Formula I being comparatively small molecules, are also less susceptible to issues of bioavailability and metabolic breakdown that plague some of these larger molecules.
  • the compounds of Formula I act at the OXTR while avoiding a number of pitfalls associated with the native ligand (i.e. oxytocin) or the compounds discussed in WO 2006/021213 , WO 03/000692 , and Frantz et al. As such, the compounds avoid or reduce the problems mentioned above for OT and have widespread and valuable applications for a range of conditions or disorders that may be treated by an OXTR agonist. In addition to treating disease states, selective small molecules allow for molecular probes for the OT receptor.
  • the invention also relates to a pharmaceutical composition including the compound of Formula I.
  • the compound of Formula I is included in a pharmaceutically effective amount, sufficient to produce a desired effect upon a process or condition of a disease.
  • An appropriate dosage level will generally be about 0.01 to 500 mg per kg patient body weight per day which can be administered in single or multiple doses.
  • the dosage level will be about 0.1 to about 250 mg/kg per day; more preferably about 0.5 to about 100 mg/kg per day.
  • a suitable dosage level may be about 0.01 to 250 mg/kg per day, about 0.05 to 100 mg/kg per day, or about 0.1 to 50 mg/kg per day. Within this range the dosage may be 0.05 to 0.5, 0..5 to 5 or 5 to 50 mg/kg per day.
  • compositions are preferably provided in the form of tablets containing 1.0 to 1000 milligrams of the active ingredient, particularly 1.0, 5.0, 10.0, 15.0, 20.0, 25.0, 50.0, 75.0, 100.0, 150.0, 200.0, 250.0, 300.0, 400.0, 500.0, 600.0, 750.0, 800.0, 900.0, and 1000.0 milligrams of the active ingredient for the symptomatic adjustment of the dosage to the patient to be treated.
  • the compounds may be administered on a regimen of 1 to 4 times per day, preferably once or twice per day.
  • the specific dose level and frequency of dosage for any particular patient may be varied and will depend upon a variety of factors including the activity of the specific compound employed, the metabolic stability and length of action of that compound, the age, body weight, general health, sex, diet, mode and time of administration, rate of excretion, drug combination, the severity of the particular condition, and the host undergoing therapy.
  • the amount of a compound of the present invention in the composition will also depend upon the particular compound in the composition.
  • the pharmaceutical composition may further comprise other therapeutically active compounds which are usually applied in the treatment of the disclosed disorders or conditions. Selection of the appropriate agents for use in combination therapy may be made by one of ordinary skill in the art, according to conventional pharmaceutical principles.
  • the combination of therapeutic agents may act synergistically to effect the treatment or prevention of the various disorders or conditions disclosed herein. Using this approach, one may be able to achieve therapeutic efficacy with lower dosages of each agent, thus reducing the potential for adverse side effects.
  • compositions of the invention may be formulated for any appropriate route of administration including, for example, topical (for example, transdermal or ocular), oral, buccal, nasal, vaginal, rectal or parenteral administration.
  • parenteral as used herein includes subcutaneous, intradermal, intravascular (for example, intravenous), intramuscular, spinal, intracranial, intrathecal, intraocular, periocular, intraorbital, intrasynovial and intraperitoneal injection, as well as any similar injection or infusion technique.
  • compositions in a form suitable for oral use or parenteral use are preferred.
  • Suitable oral forms include, for example, tablets, troches, lozenges, aqueous or oily suspensions, dispersible powders or granules, emulsions, hard or soft capsules, or syrups or elixirs.
  • compositions provided herein may be formulated as a lyophilizate.
  • the various dosage units are each preferably provided as a discrete dosage tablet, capsules, lozenge, dragee, gum, or other type of solid formulation.
  • Capsules may encapsulate a powder, liquid, or gel.
  • the solid formulation may be swallowed, or may be of a suckable or chewable type (either frangible or gum-like).
  • the present invention contemplates dosage unit retaining devices other than blister packs; for example, packages such as bottles, tubes, canisters, packets.
  • the dosage units may further include conventional excipients well-known in pharmaceutical formulation practice, such as binding agents, gellants, fillers, tableting lubricants, disintegrants, surfactants, and colorants; and for suckable or chewable formulations.
  • compositions intended for oral use may further comprise one or more components such as sweetening agents, flavouring agents, colouring agents and/or preserving agents in order to provide appealing and palatable preparations.
  • Tablets contain the active ingredient in admixture with physiologically acceptable excipients that are suitable for the manufacture of tablets.
  • excipients include, for example, inert diluents such as calcium carbonate, sodium carbonate, lactose, calcium phosphate or sodium phosphate, granulating and disintegrating agents such as corn starch or alginic acid, binding agents such as starch, gelatine or acacia, and lubricating agents such as magnesium stearate, stearic acid or talc.
  • the tablets may be uncoated or they may be coated by known techniques to delay disintegration and absorption in the gastrointestinal tract and thereby provide a sustained action over a longer period.
  • a time delay material such as glyceryl monosterate or glyceryl distearate may be employed.
  • Formulations for oral use may also be presented as hard gelatine capsules wherein the active ingredient is mixed with an inert solid diluent such as calcium carbonate, calcium phosphate or kaolin, or as soft gelatine capsules wherein the active ingredient is mixed with water or an oil medium such as peanut oil, liquid paraffin or olive oil.
  • an inert solid diluent such as calcium carbonate, calcium phosphate or kaolin
  • an oil medium such as peanut oil, liquid paraffin or olive oil.
  • Aqueous suspensions contain the active ingredient(s) in admixture with excipients suitable for the manufacture of aqueous suspensions.
  • excipients include suspending agents such as sodium carboxymethylcellulose, methylcellulose, hydroxypropylmethylcellulose, sodium alginate, polyvinylpyrrolidone, gum tragacanth and gum acacia, and dispersing or wetting agents such as naturally-occurring phosphatides (for example, lecithin), condensation products of an alkylene oxide with fatty acids such as polyoxyethylene stearate, condensation products of ethylene oxide with long chain aliphatic alcohols such as heptadecaethyleneoxycetanol, condensation products of ethylene oxide with partial esters derived from fatty acids and a hexitol such as polyoxyethylene sorbitol mono-oleate, or condensation products of ethylene oxide with partial esters derived from fatty acids and hexitol anhydrides such as polyethylene sorbitan monooleate.
  • Aqueous suspensions may also comprise one or more preservatives, for example ethyl, or n-propyl p-hydroxybenzoate, one or more colouring agents, one or more flavouring agents, and one or more sweetening agents, such as sucrose or saccharin.
  • preservatives for example ethyl, or n-propyl p-hydroxybenzoate
  • colouring agents for example ethyl, or n-propyl p-hydroxybenzoate
  • flavouring agents such as sucrose or saccharin.
  • sweetening agents such as sucrose or saccharin.
  • Oily suspensions may be formulated by suspending the active ingredients in a vegetable oil such as arachis oil, olive oil, sesame oil or coconut oil, or in a mineral oil such as liquid paraffin.
  • the oily suspensions may contain a thickening agent such as beeswax, hard paraffin or cetyl alcohol. Sweetening agents such as those set forth above, and/or flavouring agents may be added to provide palatable oral preparations.
  • Such suspensions may be preserved by the addition of an antioxidant such as ascorbic acid.
  • Dispersible powders and granules suitable for preparation of an aqueous suspension by the addition of water provide the active ingredient in admixture with a dispersing or wetting agent, suspending agent and one or more preservatives.
  • a dispersing or wetting agent e.g., kaolin, kaolin, kaolin, kaolin, kaolin, kaolin, kaolin, kaolin, kaolin, kaolin, kaolin, kaolin, kaolin, kaolin, kaolin, kaolin, sorbitol, sorbitol, sorbitol, sorbitol, sorbitol, sorbitol, sorbitol, sorbitol, sorbitol, mannitol, mannitol, mannitol, mannitol, mannitol, mannitol, mannitol, mannitol, mannitol, mannitol,
  • compositions may also be in the form of oil-in-water emulsions.
  • the oily phase may be a vegetable oil such as olive oil or arachis oil, a mineral oil such as liquid paraffin, or a mixture thereof.
  • Suitable emulsifying agents include naturally-occurring gums such as gum acacia or gum tragacanth, naturally-occurring phosphatides such as soy bean lecithin, and esters or partial esters derived from fatty acids and hexitol, anhydrides such as sorbitan monoleate, and condensation products of partial esters derived from fatty acids and hexitol with ethylene oxide such as polyoxyethylene sorbitan monoleate.
  • An emulsion may also comprise one or more sweetening and/or flavouring agents.
  • Syrups and elixirs may be formulated with sweetening agents, such as glycerol, propylene glycol, sorbitol or sucrose. Such formulations may also comprise one or more demulcents, preservatives, flavouring agents and/or colouring agents.
  • sweetening agents such as glycerol, propylene glycol, sorbitol or sucrose.
  • Such formulations may also comprise one or more demulcents, preservatives, flavouring agents and/or colouring agents.
  • compositions of the invention may be formulated for local or topical administration, such as for topical application to the skin.
  • Formulations for topical administration typically comprise a topical vehicle combined with active agent(s), with or without additional optional components.
  • Topical vehicles include organic solvents such as alcohols (for example, ethanol, iso-propyl alcohol or glycerine), glycols such as butylene, isoprene or propylene glycol, aliphatic alcohols such as lanolin, mixtures of water and organic solvents and mixtures of organic solvents such as alcohol and glycerine, lipid-based materials such as fatty acids, acylglycerols including oils such as mineral oil, and fats of natural or synthetic origin, phosphoglycerides, sphingolipids and waxes, protein-based materials such as collagen and gelatine, silicone-based materials (both nonvolatile and volatile), and hydrocarbon-based materials such as microsponges and polymer matrices.
  • organic solvents such as alcohols (for example, ethanol, iso-propyl alcohol or glycerine), glycols such as butylene, isoprene or propylene glycol, aliphatic alcohols such as lanolin, mixtures of
  • a composition may further include one or more components adapted to improve the stability or effectiveness of the applied formulation, such as stabilizing agents, suspending agents, emulsifying agents, viscosity adjusters, gelling agents, preservatives, antioxidants, skin penetration enhancers, moisturizers and sustained release materials.
  • stabilizing agents such as hydroxymethylcellulose or gelatine-microcapsules, liposomes, albumin microspheres, microemulsions, nanoparticles or nanocapsules.
  • a topical formulation may be prepared in a variety of physical forms including, for example, solids, pastes, creams, foams, lotions, gels, powders, aqueous liquids, emulsions, sprays and skin patches.
  • the physical appearance and viscosity of such forms can be governed by the presence and amount of emulsifier(s) and viscosity adjuster(s) present in the formulation.
  • Solids are generally firm and non-pourable and commonly are formulated as bars or sticks, or in particulate form.
  • Solids can be opaque or transparent, and optionally can contain solvents, emulsifiers, moisturizers, emollients, fragrances, dyes/colorants, preservatives and other active ingredients that increase or enhance the efficacy of the final product.
  • Creams and lotions are often similar to one another, differing mainly in their viscosity. Both lotions and creams may be opaque, translucent or clear and often contain emulsifiers, solvents, and viscosity adjusting agents, as well as moisturizers, emollients, fragrances, dyes/colorants, preservatives and other active ingredients that increase or enhance the efficacy of the final product.
  • Gels can be prepared with a range of viscosities, from thick or high viscosity to thin or low viscosity. These formulations, like those of lotions and creams, may also contain solvents, emulsifiers, moisturizers, emollients, fragrances, dyes/colorants, preservatives and other active ingredients that increase or enhance the efficacy of the final product. Liquids are thinner than creams, lotions, or gels, and often do not contain emulsifiers. Liquid topical products often contain solvents, emulsifiers, moisturizers, emollients, fragrances, dyes/colorants, preservatives and other active ingredients that increase or enhance the efficacy of the final product.
  • Emulsifiers for use in topical formulations include, but are not limited to, ionic emulsifiers, cetearyl alcohol, non-ionic emulsifiers like polyoxyethylene oleyl ether, PEG-40 stearate, ceteareth-12, ceteareth-20, ceteareth-30, ceteareth alcohol, PEG-100 stearate and glyceryl stearate.
  • Suitable viscosity adjusting agents include, but are not limited to, protective colloids or nonionic gums such as hydroxyethylcellulose, xanthan gum, magnesium aluminum silicate, silica, microcrystalline wax, beeswax, paraffin, and cetyl palmitate.
  • a gel composition may be formed by the addition of a gelling agent such as chitosan, methyl cellulose, ethyl cellulose, polyvinyl alcohol, polyquaterniums, hydroxyethylceilulose, hydroxypropylcellulose, hydroxypropylmethylcellulose, carbomer or ammoniated glycyrrhizinate.
  • a gelling agent such as chitosan, methyl cellulose, ethyl cellulose, polyvinyl alcohol, polyquaterniums, hydroxyethylceilulose, hydroxypropylcellulose, hydroxypropylmethylcellulose, carbomer or ammoniated glycyrrhizinate.
  • Suitable surfactants include, but are not limited to, nonionic, amphoteric, ionic and anionic surfactants.
  • dimethicone copolyol polysorbate 20
  • polysorbate 40 polysorbate 60
  • polysorbate 80 lauramide DEA, cocamide DEA, and cocamide MEA
  • oleyl betaine cocamidopropyl phosphatidyl PG-dimonium chloride
  • ammonium laureth sulfate may be used within topical formulations.
  • Preservatives include, but are not limited to, antimicrobials such as methylparaben, propylparaben, sorbic acid, benzoic acid, and formaldehyde, as well as physical stabilizers and antioxidants such as vitamin E, sodium ascorbate/ascorbic acid and propyl gallate.
  • Suitable moisturizers include, but are not limited to, lactic acid and other hydroxy acids and their salts, glycerine, propylene glycol, and butylene glycol.
  • Suitable emollients include lanolin alcohol, lanolin, lanolin derivatives, cholesterol, petrolatum, isostearyl neopentanoate and mineral oils.
  • Suitable fragrances and colours include, but are not limited to, FD&C Red No. 40 and FD&C Yellow No. 5.
  • Other suitable additional ingredients that may be included in a topical formulation include, but are not limited to, abrasives, absorbents, anticaking agents, antifoaming agents, antistatic agents, astringents (such as witch hazel), alcohol and herbal extracts such as chamomile extract, binders/excipients, buffering agents, chelating agents, film forming agents, conditioning agents, propellants, opacifying agents, pH adjusters and protectants.
  • Typical modes of delivery for topical compositions include application using the fingers, application using a physical applicator such as a cloth, tissue, swab, stick or brush, spraying including mist, aerosol or foam spraying, dropper application, sprinkling, soaking, and rinsing.
  • Controlled release vehicles can also be used, and compositions may be formulated for transdermal administration (for example, as a transdermal patch).
  • compositions may be formulated as sustained release formulations such as a capsule that creates a slow release of modulator following administration.
  • sustained release formulations such as a capsule that creates a slow release of modulator following administration.
  • Such formulations may generally be prepared using well-known technology and administered by, for example, oral, rectal or subcutaneous implantation, or by implantation at the desired target site.
  • Carriers for use within such formulations are biocompatible, and may also be biodegradable.
  • the formulation provides a relatively constant level of modulator release.
  • the amount of modulator contained within a sustained release formulation depends upon, for example, the site of implantation, the rate and expected duration of release and the nature of the disorder to be treated or prevented.
  • the invention in another form, relates to a method of treating a subject, the method including administering a pharmaceutically effective amount of a compound of Formula I, in a pharmaceutically acceptable form, to the subject.
  • a "subject” refers to an animal, such as a mammalian or an avian species, including a human, an ape, a horse, a cow, a sheep, a goat, a dog, a cat, a guinea pig, a rat, a mouse, a chicken etc.
  • the inventors have found that compounds of Formula I are particularly useful for the treatment of a range of neurological conditions or disorders.
  • the condition or disorder may be a social dysfunction, such as social withdrawal, aggressiveness, an anti-social disorder, or an addiction to a substance (for example, alcohol, cocaine, opiates, amphetamines, heroin, and nicotine.).
  • the condition or disorder may be a psychiatric disorder, a social anxiety disorder, a depressive disorder including major depressive disorder, memory loss, or schizophrenia, or a developmental disorder such as an autistic spectrum disorder.
  • the condition or disorder may be a stress disorders including post-traumatic stress disorder.
  • treating may include one or more of, ameliorating a symptom of a disorder in a subject, blocking or ameliorating a recurrence of a symptom of a condition or disorder in a subject, and decreasing in severity and/or frequency a symptom of a condition or disorder in a subject.
  • the present invention provides a kit or article of manufacture including a compound of Formula I or pharmaceutical composition including a compound of Formula I as described herein.
  • kits for use in a therapeutic or prophylactic application mentioned herein including: a container holding a compound of Formula I or pharmaceutical composition including a compound of Formula I; and a label or package insert with instructions for use.
  • the kit or "article of manufacture” may comprise a container and a label or package insert on or associated with the container.
  • Suitable containers include, for example, bottles, vials, syringes, blister pack, etc.
  • the containers may be formed from a variety of materials such as glass or plastic.
  • the container holds a compound of Formula I or composition which is effective for treating the condition and may have a sterile access port (for example the container may be an intravenous solution bag or a vial having a stopper pierceable by a hypodermic injection needle).
  • the label or package insert indicates that the dendrimer or composition is used for treating a disorder.
  • the label or package insert includes instructions for use and indicates that the therapeutic or prophylactic composition can be used to treat a disorder described herein.
  • the kit may comprise (a) a therapeutic or prophylactic composition; and (b) a second container with a second active principle or ingredient contained therein.
  • the kit in this embodiment of the invention may further comprise a package insert indicating the composition and other active principle can be used to treat a disorder or prevent a complication stemming from a disorder described herein.
  • the kit may further comprise a second (or third) container comprising a pharmaceutically-acceptable buffer, such as bacteriostatic water for injection (BWFI), phosphate-buffered saline, Ringer's solution and dextrose solution. It may further include other materials desirable from a commercial and user standpoint, including other buffers, diluents, filters, needles, and syringes.
  • BWFI bacteriostatic water for injection
  • the therapeutic composition may be provided in the form of a device, disposable or reusable, including a receptacle for holding the compound of Formula I or therapeutic or prophylactic pharmaceutical composition including a compound of Formula I.
  • the device is a syringe.
  • the therapeutic or prophylactic composition may be provided in the device in a state that is ready for use or in a state requiring mixing or addition of further components.
  • Acid chlorides were prepared by treating the parent acids (1.1 mmol) in CH 2 Cl 2 (10 mL) at 0 °C with oxalyl chloride (1.0 mL, 11 mmol) followed by DMF (1 drop) and stirred at room temperature for 2 h followed by concentrating under a stream of nitrogen to afford acyl chlorides of general structure ( 2 ).
  • Acid chlorides were prepared by treating the parent acids (1.1 mmol) in CH 2 Cl 2 (10 mL) at 0 °C with oxalyl chloride (1.0 mL, 11 mmol) followed by DMF (1 drop) and stirred at room temperature for 2 h followed by concentrating under a stream of nitrogen to afford acyl chlorides of general structure ( 2 ).
  • a magnetically stirred suspension of the dihydrochloride salt of 1 (272 mg, 1 mmol) and base (3.3 mmol) in CH 2 Cl 2 (10 mL) was treated with a solution of the appropriate benzoyl chlorides (1.1 mmol) in CH 2 Cl 2 (10 mL) dropwise at 0 °C.
  • the base may be NEts, diisopropylethylamine or pyridine.
  • the reaction mixture was then warmed to room temperature and stirring continued for 4 h.
  • the resultant solution was diluted with CH 2 Cl 2 (25 mL) and NaHCOs (25 mL of a sat. aq.
  • Example 40 (4-(hexyloxy)phenyl)(1-methyl-4,10-dihydrobenzo[b]pyrazolo[3,4-e][1,4]diazepin-5(1H)-yl)methanone (TAR-B085)
  • Example 41 4-(1-methyl-1,4,5,10-tetrahydrobenzo[b]pyrazolo[3,4-e][1,4]diazepine-5-carbonyl)benzoic acid (TAR-C076)
  • Example 42 4-(1-methyl-1,4,5,10-tetrahydrobenzo[b]pyrazolo[3,4-e][1,4]diazepine-5-carbonyl)benzoic acid (TAR-C077)
  • Example 45 (2-fluoro-5-(trifluoromethyl)phenyl)(1-methyl-4,10-dihydrobenzo[b]pyrazolo[3,4-e][1,4]diazepin-5(1H)-vl)methanone (TAR-B077)
  • Example 46 (2-fluoropyridin-3-yl)(1-methyl-4,10-dihydrobenzo[b]pyrazolo[3,4-e][1,4]diazepin-5(1H)-yl)methanone (TAR-B078)
  • Example 57 benzo[d][1,3]dioxol-5-yl(1-methyl-4,10-dihydrobenzo[b]pyrazolo[3,4-e][1,4]diazepin-5(1H)-yl)methanone (TRGA-95)
  • Example 66 1-Methyl-5-((4-(trifluoromethyl)phenyl)sulfonyl)-1,4,5,10-tetrahydrobenzo[b]pyrazolo[3,4-e][1,4]diazepine (WJ0639)
  • HEK-293 Human embryonic kidney cells (HEK-293) transfected to stably express untagged hOTR and V 1a R using the Flp-In TM T-REx TM system (Life Technologies, Carlsbad, CA, USA) were established as reported in Jorgensen et al. , 2016 (the entire disclosure of which is hereby incorporated by reference). Cells were subsequently maintained in 10% DMEM containing hygromycin (80 ⁇ g/ml), penicillin (100 U/ml), streptomycin (0.1 mg/ml) and blasticidine S hydrochloride (15 ⁇ g/ml).
  • Membranes (50 ⁇ g/well) were incubated with [Tyrosyl-2,6- 3 H]-oxytocin (10 nM) or [Phenylalanyl-3,4,5- 3 H]-vasopressin (8-L-arginine) (2 nM; Perkin Elmer, Waltham, MS, USA) and logarithmically-spaced concentrations of competing compounds (1 nM - 10 ⁇ M) in reaction buffer (50 mM Tris HCl, 5 mM MgCl 2 , pH 7.4).
  • Reactions were incubated for 90 min at 4 °C to reach equilibrium, and terminated by rapid filtration over glass fibre filters (Whatman GF/A 1.6 ⁇ M; Millipore, Darmstadt, Germany), and washing with ice-cold reaction buffer. Filters were dried, then incubated with Microscint 0 (Perkin Elmer) for 30 min before radioactivity was detected with a Microbeta2 2450 microplate-reader (Perkin Elmer). Nonspecific binding was determined in the presence of 1 ⁇ M cold oxytocin or vasopressin (Sigma Aldrich), and was subtracted from total binding values to calculate specific binding values. Specific binding in the presence of compounds was expressed as a percentage of specific binding in the presence of vehicle control.
  • a sum-of-squares F-test was used to compare the goodness of fit of one-site, two-site and sigmoidal with variable hill slope binding models, and to calculate K i 's using Graphpad Prism (Graphpad Software, La Jolla, CA, USA).
  • OTR or V 1a R-expressing HEK-293 cells were seeded onto poly-L-lysine (100 ⁇ g/ml)-coated 384-well plates at a density of 8.75 x 10 3 cells per well. Cells were incubated in tetracycline (2 ⁇ g/mL) for 48 h to induce receptor expression. Intracellular IP1 levels induced by activation of the G q protein coupled to the OTR and V1aR was indexed using the HTRF IP-One kit (CisBio International, Bedford, MA, USA), according to manufacturer's protocol.
  • agonist assessment cells were incubated with logarithmically-spaced concentrations of compounds (1 nM - 100 ⁇ M) for 1 h prior to the addition of Ab-Cryptate and IP1-d2 for 1 h. The contents of each well were transferred to a white-walled proxy plate (Perkin Elmer) and fluorescence read using a Pherastar Microplate reader (BMG Labtech, Cary, NC, USA).
  • antagonist assessment cells were incubated an ⁇ EC 70 concentration of OT (30 nM) or AVP (25 nM) mixed with compounds (1 nM - 100 ⁇ M) or vehicle control for 1 h.
  • IP1 levels in the presence of compounds and OT or AVP were expressed as a percentage of levels seen with OT or AVP in the presence of vehicle control.
  • Data represent the mean ⁇ s.d. of at least 3 independent experiments, each in duplicate.
  • mice were placed in the arena (40 ⁇ 40 ⁇ 40 cm) in weight and treatment matched pairs of unfamiliar mice for a 10 min test session, commencing 30 min after receiving their i.p. injection.
  • the variables of interest were the time the mice spent in close physical contact with each other and the time each mouse spent engaged in active social investigation (sniffing the other mouse).
  • Figure 1 shows that all doses of WJ0679 significantly increased time spent in close physical contact, with the effect being most pronounced at the lower doses (1 and 5 mg/kg).
  • Figure 2 shows that doses of 1 and 20 mg/kg WJ0679 significantly increased active social investigation.
  • Paragraph 1 A pharmaceutical composition, the pharmaceutical composition including, consisting essentially of, or consisting of: a pharmaceutically acceptable compound of Formula I and a pharmaceutically acceptable carrier, diluent, or excipient:
  • Paragraph 2 The pharmaceutical composition of paragraph 1, wherein the cyclic structure is selected from the group consisting of: fused or unfused aryl groups; fused or unfused 5-, 6-, 7-membered heterocyclic groups having one or more hetero ring atoms selected from N, O, or S; or a 5-, 6-, 7-, 8-, 9-, 10-, 11-, 12-, 13-, 14-, 15-, or 16-membered mono-, bridged bi-, or bridged tri-cycloalkyl groups.
  • Paragraph 3 The pharmaceutical composition of paragraph 1 or 2, wherein: the aryl group is an unfused aryl group, the heterocyclic group is an unfused heterocyclic group having only a single hetero ring atom, and the cycloalkyl is a bridged bi- or tricyclic alkyl group.
  • Paragraph 4 The pharmaceutical composition of any one of the preceding paragraphs, wherein the cyclic structure is selected from the group consisting of: phenyl, pyridyl, and adamantyl.
  • R1, R3, R4, R5, and R6 are each independently selected from the group consisting of: H, F, Cl, Br, I, OH, CH 3 , CH m F (3-m) , CH m Cl (3-m) , CH m Br (3-m) , OCH 3 , OCH m F (3-m) , OCH m Cl (3-m) , or OCH m Br (3-m) .
  • R2 is independently selected from the group consisting of: H, F, Br, I, OH, CH m F (3-m) , CH m Cl (3-m) , CH m Br (3-m) , OCH 3 , OCH m F (3-m) , OCH m Cl (3-m) , or OCH m Br (3-m) .
  • Paragraph 7 The pharmaceutical composition of any one of the preceding paragraphs, wherein the substituted or unsubstituted aryl is a substituted or unsubstituted phenyl of the form:
  • A1, A2, A3, A4, or A5 are each independently selected from the group consisting of: H, F, Cl, Br, I, OH, CH 3 , CH m F (3-m) , CH m Cl (3-m) , CH m Br (3-m) , OCH 3 , OCH m F (3-m) , OCH m Cl (3-m) , or OCH m Br (3-m) .
  • Paragraph 10 The pharmaceutical composition of any one of the preceding paragraphs, wherein, the substituted or unsubstituted heterocyclyl is a substituted or unsubstituted pyridyl selected from the group consisting of: wherein:
  • Paragraph 11 The pharmaceutical composition of paragraph 10, wherein Z is N.
  • each H1, H2, H3, H4, or H5 that is present is independently selected from the group consisting of: H, F, Cl, Br, I, OH, CH 3 , CH m F (3-m) , CH m Cl (3-m) , CH m Br (3-m) , OCH 3 , OCH m F (3-m) , OCH m Cl (3-m) , or OCH m Br (3-m) .
  • Paragraph 19 The pharmaceutical composition of paragraph 18, wherein B1, B2, and B3 are each independently selected from the group consisting of: H, F, Cl, Br, I, OH, CH 3 , CH m F (3-m) , CH m Cl (3-m) , CH m Br (3-m) , OCH 3 , OCH m F (3-m) , OCH m Cl (3-m) , or OCH m Br (3-m) .
  • Paragraph 21 A method including: administering a pharmaceutical composition according to any one of paragraphs 1 to 20 to a subject.
  • Paragraph 22 The method of paragraph 21, wherein the method includes administering the pharmaceutically acceptable composition to the subject in an amount effective to treat or prevent a condition in the subject.
  • Paragraph 23 The method of paragraph 22, wherein the condition is selected from the group consisting of:
  • Paragraph 24 The method of paragraph 23, wherein the substance is selected from the group consisting of: alcohol, cocaine, opiates, amphetamines, heroin, and nicotine.
  • Paragraph 25 The method of paragraph 22, wherein the method includes administering the pharmaceutical composition to either:
  • Paragraph 26 The use of a pharmaceutical composition according to any one of paragraphs 1 to 20 for treating or preventing a condition in a subject, and/or maintaining ongoing abstinence from a substance in the subject.
  • Paragraph 27 A use of a compound of Formula I for the manufacture of a medicament for the treatment of a condition, wherein the condition is selected from the group consisting of: a social dysfunction including: social withdrawal, aggressiveness, an anti-social disorder, or an addiction to a substance; or a psychiatric disorder including: an autistic spectrum disorder, a social anxiety disorder, a depressive disorder including major depressive disorder, or schizophrenia;

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IL267276A (en) 2019-08-29
JP7089649B2 (ja) 2022-06-23
RU2019120162A3 (fr) 2021-01-28
DK3551631T3 (en) 2025-02-17
PT3551631T (pt) 2024-12-10
KR102561721B1 (ko) 2023-07-28
US20200000823A1 (en) 2020-01-02
CN110248944A (zh) 2019-09-17
US20230330103A1 (en) 2023-10-19
IL267276B2 (en) 2024-09-01
KR20190091534A (ko) 2019-08-06
AU2017377653A1 (en) 2019-07-11

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